Organization
MARYLAND PROTON TREATMENT CENTER, LLC
Active
Parent organization
MARYLAND PROTON TREATMENT HOLDINGS, LLC
Other names
Maryland Proton Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND PROTON TREATMENT HOLDINGS, LLC
Authorized official
SHAREEF MOSTAFA BATATA (CHIEF FINANCIAL OFFICER)
(914) 233-3520
Entity
Organization
Contact information
Practice address
850 W BALTIMORE ST, BALTIMORE, MD 21201-1110
(410) 369-5200
(410) 347-0870
Mailing address
PO BOX 65034, BALTIMORE, MD 21264-5034
(410) 706-4919
(410) 706-6729
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM483
MD
261QR0200X
Radiology Clinic/Center
MM483
MD
261QX0203X
Radiation Oncology Clinic/Center
MM483
MD
Other
Enumeration date
05/12/2014
Last updated
03/10/2025
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